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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNIT'Y DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE; 588-5t47 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANKi <br /> NO. GALLONS: IE'~o-~,~, -" ~:~¢~- ~-'s'~ ~,~C- <br /> MATERIAL: <br /> MANUFACTURER; <br /> <br /> ON~,SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~¢-,¢ ~y~ ~r¢~c~: SITE NO. ~2. <br /> <br /> Ct~e P~ ~ PERMIT NO. 5~ <br /> <br />BUILDING SEWER MA?L; <br />EFFLUENT SEWER MAT'L: ~.~ Pd4_ ,¢¢.~.q0 P~¢~,¢~' <br /> <br />DISPOSAL FIELD; <br /> TOTAL LENGTHi <br /> PIPE MAT'L: : <br /> TRENCH DEPTH: <br /> ROCK DEPTH: . <br /> DIST. TO WELL: <br /> BOXES: <br /> <br /> In accordance with Oregon Revised S!atute 454.665; this certificate is issued as ewdence of satisfactory <br /> completion of a subsffc~r al¢.,~,~(e s~e disposal system at.tho above location. <br />INSPECTED eY: ~lj// ~ DATE: ¢- ).~_~ <br /> TITLE: ~ ~ ' ~ <br />MC ~,~S6 Rev. 12J~2 <br /> <br /> <br />